JP4096037B2 - Prediction method of drug metabolic activity by mutation analysis of glucuronyltransferase gene - Google Patents
Prediction method of drug metabolic activity by mutation analysis of glucuronyltransferase gene Download PDFInfo
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- JP4096037B2 JP4096037B2 JP2002235029A JP2002235029A JP4096037B2 JP 4096037 B2 JP4096037 B2 JP 4096037B2 JP 2002235029 A JP2002235029 A JP 2002235029A JP 2002235029 A JP2002235029 A JP 2002235029A JP 4096037 B2 JP4096037 B2 JP 4096037B2
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- 230000003637 steroidlike Effects 0.000 description 1
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- 229940126585 therapeutic drug Drugs 0.000 description 1
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Description
【0001】
【発明の属する技術分野】
本発明は臨床検査の分野で用いられ、とりわけグルクロン酸抱合に関与する酵素の遺伝子検査の方法およびそのためのプローブおよびキットに関する。
【0002】
【従来の技術】
ウリジンジホスフェートグルクロノシルトランスフェラーゼ(UDP-glucuronosyltransferase,UGT)は種々の薬剤のグルクロン酸抱合を触媒する酵素である。UGTはそのアミノ酸配列の相同性によりUGT1とUGT2の2つのファミリーに分類される。
UGT1には、UGT1A1およびUGT1A3〜UGT1A10の少なくとも9個のアイソフォームが存在する事が知られている。例えば、UGT1A1はビリルビン、アミン、フェノールなどを抱合し、UGT1A6は平面状の分子構造をもつフェノールを抱合する。ヒトUGTl遺伝子(UGT1)は染色体2q37に存在しており、アイソフォーム(1A1〜lA10)ごとに基質特異性のあるエキソンlと、各アイソフォームで共通のエキソン2〜5からなり、各エキソン1の上流にTATAboxを含むプロモーター領域が存在する。それぞれのアイソフォームは第1エキソン群の少なくとも9のうちの1つによりコードされるユニークなアミノ末端領域と4つのエキソンによってコードされる共通のカルボキシ末端領域を持っている。したがって、
一方UGT2は臭気物質を抱合するUGT2Aと胆汁酸、ステロイドを抱合するUGT2のサブファミリーに分けられる。
【0003】
血清ビリルビンが高値となる以外に一般肝機能検査に異常がなく、明らかな黄疽の原因(溶血所見など)を認めないものを体質性黄疸と称し、間接(非抱合型)ビリルビンが上昇するCrigler-Najjar症候群I型,同II型およびGilbert症候群と、直接(抱合型)ビリルビンが上昇するDubin-Johnson症候群,Rotor症候群とに大別される。Crigler-Najjar症候群I型,同II型およぴGilbert症候群ではUGT1A1遺伝子のエキソン5での変異が報告されている。具体的にはアミノ酸配列番号486番目のチロシンがアスパラギン酸に置換した変異(Y486D)により、その酵素活性が正常のものに比べて13分の1に低下する。
【0004】
一方、体内での薬剤代謝に関与する物質として、チトクロームP450が良く知られている。そしてこの酵素の多型の違いにより、ある特定の薬剤が代謝されない、薬剤代謝異常が引き起こされることもよく知られている。薬剤の代謝異常はチトクロームP450の多型によるのみならず、上述のごとく薬剤がグルクロン酸抱合されて代謝されることから、薬剤代謝にUGTの多型の関与が知られるようになった。しかしながら、種々の薬剤代謝とUGTの多型との関係において、数多くの薬剤に対する代謝を反映しうる有効な遺伝子の変異は明らかでない。とりわけUGT1遺伝子のエキソン5領域の変異と薬剤代謝の関連は明らかでない。
【0005】
【発明が解決しようとする課題】
本発明の課題は、UGTをコードする遺伝子の変異を効率的に検出することにより、薬剤代謝の判定、予測または検査方法を提供することである。
【0006】
【課題を解決する手段】
本発明者らは鋭意研究を重ねた結果、UGTをコードする遺伝子が5個のエキソンから成り、エキソン2〜5領域はUGT1のアイソフォーム毎に共通の領域であることから、これらの領域の変異を調べると、UGT1のアイソフォーム毎の検査をすることなく、UGT1の変異を有効的に検出しうることに着目し、とりわけUGT1分子のエキソン5領域の変異を検出することで、薬物代謝の予測が有効になされることを見出し、本発明を完成するに至った。
【0007】
すなわち本発明は、
1.UDP−グルクロノシルトランスフェラーゼ(UGT)をコードする遺伝子のエキソン5領域の変異を検出する工程を含むことを特徴とするUGTの薬剤代謝能に対する検査方法、
2.プロモーター領域の変異を検出する工程を含む前項1に記載の検査方法、
3.UGT1をコードする遺伝子を含む試料を、UGT1A1、UGT1A3、UGT1A4、UGT1A5、UGT1A6、UGT1A7、UGT1A8、UGT1A9およびUGT1A10の各アイソフォーム毎の検査をすることなく、該各アイソフォームに共通の核酸配列を有するエキソン5領域の変異を検出する工程を含む前項1または2に記載の検査方法、
4.UGT1A1分子のアミノ酸配列486番目のアミノ酸をコードするUGT遺伝子配列の1456番目の塩基に対応するUGT1A分子の各アイソフォームのエキソン5領域の変異を検出する工程を含む前項3に記載の検査方法、
5.上記変異の検出工程ともに、UGT分子をコードする遺伝子配列のエキソン1、2、3および4の領域の少なくとも1つの領域の変異を検出する工程を含む前項1〜4のいずれか1に記載の検査方法、
6.UGT1A1分子のアミノ酸配列71番目のアミノ酸をコードするUGT遺伝子配列の226番目の変異およびアミノ酸配列229番目のアミノ酸をコードする遺伝子配列の486番目の変異のうち少なくとも1つの遺伝子配列の変異を検出する工程を含む前項5に記載の検査方法、
7.前項3または4に記載の塩基置換からなる変異を有するUGT遺伝子または該変異を含む遺伝子の断片、
8.前項1〜6のいずれか1に記載の塩基置換の検出方法に供される被検DNAとしての機能的有効長を有するDNA断片または前項1〜6に記載の塩基置換を検出方法に使用するためのプローブとしての機能的有効長を有するDNA断片、
9.配列番号1〜3のいずれか1で表される塩基配列を有するUGTに特異的なオリゴヌクレオチドプローブである前項7または8記載のDNA断片。
10.配列番号1で表される塩基配列を有するプローブと配列番号2および/または3で表される塩基配列を有するプローブを組み合わせて使用する前項5または6に記載の検査方法、
11.前項7〜9のいずれか1に記載のオリゴヌクレオチドプローブまたは請求項10に記載の方法に用いるオリゴヌクレオチドプローブを同一の装置内に設置した検出装置。
12.前項7〜9のいずれか1に記載のオリゴヌクレオチドプローブの塩基配列の末端が、官能基を介して不溶性支持体に結合して固定化されている核酸チップまたは核酸アレイである前項11記載の検出装置
13.前項11または12に記載の装置を用いて薬剤代謝を判定、予測または検査する方法。
14.前項1〜6、10、13のいずれか1に記載の方法に用い、または前項7〜9に記載の核酸断片或いは前項11または12に記載の装置を組み込んだ検査キット、からなる。
【0008】
【本発明の実施態様】
本発明を詳細に説明するため、実施態様を例示して説明する。
2−アミノ−5−ニトロ−4−トリフルオロメチルフェノールグルクロン酸抱合物は強い肝毒性を有する前立腺癌の治療に使われる非ステロイド系の抗男性ホルモン剤であるフルタアミドの主な代謝物である。
2−アミノ−5−ニトロ−4−トリフルオロメチルフェノールはUGTによってグルクロン酸抱合される。UGT1A1およびUGT1A6の各アイソフォームの酵素によりグルクロン酸抱合されるときの酵素反応学的な反応を、それぞれ正常な分子とY486Dの変異をもつ分子で比較した。その結果、UGT1A1の変異型では天然型の最大速度に比べて約12%の最大速度を示し、Km値は2−アミノ−5−ニトロ−4−トリフルオロメチルフェノールに対しては約半分であり、UDP−グルクロン酸に対しては天然型と同等であった。一方UGT1A6については変異型は天然型の1%以下の活性しか示さず、最大反応速度、Kmの測定はともに不可能なレベルであった。
前述のようにUGT1遺伝子がアイソフォーム毎に共通のエキソン2〜5領域とアイソフォーム毎に異なるエキソン1領域を有することから、共通エキソン領域に変異が起きるとすべてのアイソフォームにおいてUGT1の酵素活性が低下するといえる。
【0009】
本発明は、共通エキソン領域の変異を調べることで、UGT1に存在しうるアイソフォームの全てを対象に、遺伝子の変異を効率的に検査する方法を提供するものである。具体的には、例えばUGT1A1およびUGT1A6のエキソン5領域の変異(Y486D)を検査することにより、これらの酵素による薬物代謝を予測することができる。
さらに本発明は、UGT1のエキソン1領域の変異検出を加えることにより、各アイソフォームに固有の変異を検出し、それらを組み合わせることで、総合的にUGT遺伝子の変異の検出漏れの頻度を低減可能とするUGT遺伝子の変異検査方法が提供される。このことにより、薬剤代謝の予測、検査を効率的に行う方法が提供できる。
【0010】
本発明は、UGT1A1のエキソン5領域の変異、具体的にはY486D変異の検査方法を開示するもので、該検査方法により、同時に起きている他のアイソフォームの変異も検出し得る。例えば、UGT1A3、UGT1A4並びにUGT1A5の変異であるY487D、UGT1A6の変異であるY485D、およびUGT1A7、UGT1A8、UGT1A9並びにUGT1A10の変異であるY483D等を同一のプローブおよび/または同一の装置を使用して検査することができる。したがって、本発明の方法により、薬剤代謝に重要な働きをしているUGT1Aの各アイソフォームの変異を個々に検査することなく、1種の核酸プローブを用いることによって、これらアイソフォームの全てのエキソン5領域の変異を検出でき、その酵素活性の低下による薬剤代謝の判定、予測または検査を行うことが可能になる。
【0011】
本発明において、検出すべき遺伝子変異が明らかにされ、これが特定されているので、本発明の開示に従えば、その検出のための方法を適宜採用しもしくは該方法を適宜修飾して採用することは当業者であれば容易である。例えば、被験者のUGT遺伝子を対象として、本発明の特定の変異(Y486D変異)の検出は、当該変異位置を含む塩基配列を解析する各種の方法に従うことができる。これには、例えばサザンハイブリダイゼーション法、ドットハイブリダイゼーション法(J. Mol. Biol., 98: 503-517, 1975等参照)、ジデオキシ塩基配列決定法、DNAの増幅手法を組合せた各種の検出法[例えばPCR−制限酵素断片長多型分析法(RFLP: Restriction fragment length polymorphism),PCR−単鎖高次構造多型分析法(Proc. Natl. Acad. Sci., U.S.A., 86: 2766-2770, 1989等参照)、PCR−特異的配列オリゴヌクレオチド法(SSO: Specific sequence oligonucleotide)、PCR−SSOとドットハイブリダイゼーション法を用いる対立遺伝子特異的オリゴヌクレオチド法(Nature, 324: 163-166, 1986等参照)]等を例示することができる。さらにオリゴヌクレオチドプローブを用いる核酸チップまたは核酸アレイによって簡便に検出することも可能である。
【0012】
(プローブ)
UGT1分子をコードする遺伝子のエキソン1内226番目の核酸塩基の変異(G71R)、エキソン1内686番目の核酸塩基の変異(P229Q)の変異およびエキソン5内1456番目の核酸塩基の変異(Y486D)は、核酸プローブを用いて検出することができる。
これらの核酸プローブ用のDNA断片のヌクレオチド数は、少なくとも8個、通常10〜50個、好ましくは15〜35個の範囲にあるのがよい。プローブのヌクレオチド数が上記よりあまりに多くなりすぎると、1本鎖DNAにハイブリダイズしにくくなり、逆にあまりに小さすぎると、ハイブリダイゼーションの特異性が低下する。
【0013】
具体的には、G71R変異検出用プローブとして、(配列番号2)TCAGAGACNGAGCATTTTの塩基配列を有するオリゴヌクレオチド、P229Q変異検出用プローブは(配列番号3)TAATTCCCNGTATGAAAの塩基配列を有するオリゴヌクレオチド、そしてY486D変異検出プローブは(配列番号1)TGGTACCAGNACCATTCCTの塩基配列を有するオリゴヌクレオチドを使用することができる。この場合において、NはA,T,CまたはGの何れかもしくはイノシン等のユニバーサル塩基である。
また、これらのオリゴヌクレオチドの末端には、必要な化学物質、例えば核酸アレイ調製時のスポッティングを容易にするための物質や、各種標識物質などを付加することができる。
【0014】
さらに本発明においては、UGT遺伝子検出用プローブとして機能し得るものであれば、上記配列番号1〜3に表される塩基配列を有するDNA断片に限定されず、鋳型鎖との間に少数のミスマッチがあっても良い。例えば、上記機能を有するものであれば、配列番号1〜3に表される塩基配列に例えば2個以下のヌクレオチドの置換、欠失および/または付加による修飾のなされた配列を包含することができる。
【0015】
上記本発明で用いるプローブの各オリゴヌクレオチドは、常法に従い、自動合成機、例えばDNAシンセサイザー(パーキンエルマー社)等を用いて容易に合成することができ、得られるオリゴヌクレオチドは更に必要に応じて、市販の精製用カートリッジ等を用いて精製することもできる。合成オリゴヌクレオチドはスライドグラス表面に固定化した核酸アレイへ応用する場合には5´末端をアミノ標識しておくことも好適である。
【0016】
(核酸アレイ)
上記の各プローブはスライドグラス等の表面に固定化して核酸アレイ(一般には、「マイクロアレイ」ともいう。)として用いることができる。核酸アレイの手法は、公知の方法を適用することができ、特にその方法は限定されない(例えば遺伝子工学実験ノート下,羊土社,175-187 (2002))。例えば、市販のアレイヤー、Affymetrix417Arrayerを用いてアミノシランコートしたスライドグラス上にスポットして調製することができる
【0017】
(対象試料と検査試料の調製)
本発明の方法により、医薬品開発における動態試験において重要な位置を占めるグルクロン酸抱合による薬物代謝を容易に判定することができる。これにより、投与される医薬品の代謝の適否を判定することができる。測定の対象となる試料は生体試料であれば良く、特に限定されないが、例えば肝臓、腎臓、白血球、毛髪等の臓器、組織等が挙げられる。測定試料において、UGT遺伝子の発現量が少ない場合には、対象とする核酸をPCR法、LAMP法、LCR法、NASBA法等の適当な増幅方法により増幅させた試料を測定することも可能である。
【0018】
検査対象試料からDNAを抽出し、変異を検出しようとする領域に特異的なプライマー対を用いて例えばPCR法によりDNAを増幅させて検査試料を調製することができる。具体的には、5´末端を蛍光標識したプライマー(例えば、5´−Cy3標識オリゴDNA)を用いて蛍光標識試料を調製することにより、調製した試料を核酸アレイ上のプローブとハイブリザイズさせて直接そのハイブリザイズした結果を検出することができる。
【0019】
試料調製のためのプライマーとして、例えば以下のものを使用することができる。これにより、DNAを増幅させて蛍光標識試料を調製できる。
1)変異検出部位G71R用のプライマー対:
G71R−F
(CTGCAGCAGAGGGGACATGA)(配列番号4)
Cy3−G71R−R
(Cy3−AACATTATGCCCGAGACTAAC)(配列番号5)
2)変異検出部位P229G用プライマー対:
P229Q−F
(CAACCCATTCTCCTACGTG)(配列番号6)
Cy3−P229G−R
(Cy3−AGATGCAGAGCTCAATAGGTC)(配列番号7)
3)変異検出部位Y486D用プライマー対
a)Y486D−F
(GCTGGACCTGGCAGTGTTC)(配列番号8)
Cy3−Y486D−R
(Cy3−TTTCCGGTAGCCATATGCACA)(配列番号9)
b)Y486D−F2
(CCGCAGCCCACGACCTCACCTGGT)(配列番号10)
Cy3−Y486D−R2
(Cy3−AGAGGAAACCAATCACGTCCAAGG)(配列番号11)
【0020】
(検出)
上記の核酸アレイ蛍光標識の検出には市販の検出装置が用いられる。例えばAffymetrix428ArrayScannerを用いて、スキャンニングして各スポットの蛍光シグナルを検出することができる。
【0021】
(対象薬剤)
本発明の方法によって検査されうる対象となる薬剤は、UGTによりグルクロン酸抱合されるものであれば、その代謝の検査に有用である。これらの薬剤の例として、スピロノラクトン等の利尿剤、アセトアミノフェン、アスピリン、フロクタフェニン、インドメタシン等の鎮痛剤、ハロペリドール、カルピプラミン、ロラゼパム、アモキサン等の向精神薬、モルヒネ、プロポフォール、アヘン等の麻酔鎮痛剤、抗癌剤の塩酸ドキソルピジン、鎮咳剤のリン酸コデイン、喘息治療薬の硫酸オルシプレナリン、抗てんかん剤のフェニトイン、抗ヒスタミン剤のフマル酸ケトチフェン、降圧および狭心症治療薬のカルベジロール、塩酸プロプラノロール等、脂質代謝改善剤のクロフィブラートアルミニウム、アルツハイマー治療薬の塩酸ドネペジル等が挙げられる。
【0022】
【実施例】
以下、本発明を実施例によりさらに具体的に説明するが、本発明はこれらに限定されるものではない。
【0023】
【実施例1】
(核酸アレイの調製)
配列番号1から12の各配列を持つ5´アミノ修飾オリゴヌクレオチドを合成し、Affymetrix417Arrayerを用いて、アミノシランコートしたスライドグラス(シグマ社製)の表面にスポッティングしDNAチップを調製した。各オリゴヌクレオチドを5個ずつスポットした。調製したアレイのスポットレイアウトを図1に示した。
【0024】
【実施例2】
(試料の調製)
7種類の検査試料を以下の5´−Cy3標識オリゴヌクレオチドと未標識オリゴヌクレオチドプライマーを用いてPCR増幅させ、蛍光標識試料を調製した。変異検出部位G71R用のプライマー対として、G71R−FとCy3−G71R−Rを用いて150塩基対のPCR増幅産物を、変異検出部位P229G用プライマー対、P229Q−FとCy3−P229G−Rを用いて195塩基対のPCR増幅産物を、さらに変異検出部位Y486D用プライマー対、Y486D−FとCy3−Y486D−Rを用いて187塩基対のPCR増幅産物を得た。PCRの条件は以下のとおりである。
【0025】
反応物はエタノール沈殿法により精製した。
【0026】
【実施例3】
(ハイブリダイゼーションおよび検出)
実施例2で調製した各試料を12μLのハイブリダイゼーション緩衝液〔4×SSC(0.15mol/LのNaClと15mmol/Lのクエン酸ナトリウムを基本溶液として4×はその4倍濃度を表す)、0.2%SDS、50%ホルムアミド〕に溶解し、その10μLを実施例1で作成した核酸アレイに42℃で2時間ハイブリダイズさせた。ハイブダイズ後、緩衝液(2×SSC、0.2%SDS)で37℃、5分間洗浄後さらに、緩衝液(0.2×SSC)で室温、5分間洗浄後、乾燥し、Affimetrix 428 ArrayScannerを用いて蛍光シグナルを検出した。その結果を図2〜8に示した。
【0027】
試料1では、G71Rの変異検出チップのG列のみに、P229Q変異検出チップのC列のみに、さらにY486Dの変異検出チップのT列のみにそれぞれハイブリダイズが観察された。これは、何れも正常な配列を有していることを示していた(図2)。
【0028】
試料2および3では、P229Qの変異検出チップのC列およびY486Dの変異検出チップのT列にハイブリダイズが認められ、それぞれ正常な配列が認められたが、G71Rの変異検出チップのA列およびG列の両方にハイブリダイズが観察された。これにより、G列にハイブリダイズする正常な配列と、A列にハイブリダイズする変異配列を共に有するヘテロ接合性の変異が確認された(図3、図4)。
【0029】
試料4においては、P229QおよびY486Dの変異検出チップでは何れも正常なハイブリダイズパターンを示したが、G71Rの変異検出チップのA列のみにハイブリダイズが観察された。これにより、ホモ接合性の変異が確認された(図5)。
【0030】
試料5では、G71RおよびY486Dの変異検出チップのハイブリダイズパターンは何れも正常であったが、P229Qにおいては正常なハイブリダイズであるC列とさらにA列にもハイブリダイズが観察された。これにより、ヘテロ接合性の変異が確認された(図6)。
【0031】
試料6ではG71RおよびP229Qの変異検出チップに対しては何れも正常なハイブリダイズパターンを示したが、Y486Dの変異検出チップに対しては、正常なハイブリダイズであるT列と変異を示すG列の両方にハイブリダイズが観察された。これにより、ヘテロ接合性の変異が確認された(図7)。
【0032】
試料7では試料6と異なり、Y486D変異検出チップにおいてG列のみにハイブリダイズが観察された。これにより、ホモ接合性の変異が確認された(図8)。
【0033】
以上7種の試料と同じ遺伝子配列を持つUGT分子を遺伝子組換えにより調製し、ビリルビンを基質として測定したときのUGT活性と上記の結果を比較検討した結果、表1のようになり、UGT分子をコードするエキソン5領域の変異、とりわけY486Dの変異を検出することにより、UGT分子の酵素活性を予測することが可能なことが確認された。これより薬剤代謝の異常を検査することが可能であることが示された。さらに、エキソン5領域以外のエキソン1〜4の領域の変異を合わせて検出することにより、より効果的に薬剤代謝の異常を検査できることが示された。
【0034】
(表1)DNAチップでの解析結果と対応する遺伝子組換えUGT1A1分子のUGT活性
【0035】
【表1】
【0036】
【実施例4】
実施例1と同様に操作してエキソン5領域の変異を検出したUGT1A6分子について、エキソン5領域の変異の解析結果と、対応するその遺伝子組換えUGT1A6分子のUGT活性を2−アミノ−5−ニトロ−4−トリフルオロメチルフェノールを基質として測定した。その結果を表2に示した。
【0037】
(表2)DNAチップでの解析結果と対応する遺伝子組換えUGT1A6分子のUGT活性
【0038】
【表2】
【0039】
この結果、UGT1A1のみならず、他のアイソフォームの変異も本発明の方法で検出可能であることが判り、本発明の効果が確かめられた。
【0040】
【発明の効果】
以上説明したように、本発明のUGT1をコードする共通エキソン領域の変異を検出方法により、多数の存在するアイソフォームを個別に検査することなく、効率的にUGT1遺伝子の変異を検出して、数多い薬剤に対してその代謝の判定、予測および検査を効率的に行うことができる。
【0041】
【図面の簡単な説明】
【図1】DNAチップの核酸プローブの配置を示した図である。
【図2】試料1(正常検体)の検査結果を表した図である。
【図3】試料2の検査結果を表した図である。
【図4】試料3の検査結果を表した図である。
【図5】試料4の検査結果を表した図である。
【図6】試料5の検査結果を表した図である。
【図7】試料6の検査結果を表した図である。
【図8】試料7の検査結果を表した図である。
【配列表】
[0001]
BACKGROUND OF THE INVENTION
The present invention is used in the field of clinical testing, and more particularly to a method for genetic testing of an enzyme involved in glucuronidation, and a probe and kit therefor.
[0002]
[Prior art]
Uridine diphosphate glucuronosyltransferase (UDP) is an enzyme that catalyzes the glucuronidation of various drugs. UGTs are classified into two families, UGT1 and UGT2, based on the homology of their amino acid sequences.
It is known that UGT1 has at least nine isoforms, UGT1A1 and UGT1A3 to UGT1A10. For example, UGT1A1 conjugates bilirubin, amine, phenol and the like, and UGT1A6 conjugates phenol having a planar molecular structure. The human UGTl gene (UGT1) is present on chromosome 2q37 and consists of exon 1 having substrate specificity for each isoform (1A1 to 1A10) and exons 2 to 5 common to each isoform. A promoter region containing TATAbox is present upstream. Each isoform has a unique amino terminal region encoded by at least one of the first exon group and a common carboxy terminal region encoded by four exons. Therefore,
On the other hand, UGT2 is divided into UGT2A conjugated with odorous substances, UGT2 conjugated with bile acids and steroids.
[0003]
Other than high serum bilirubin, general liver function tests are normal, and no obvious cause of jaundice (such as hemolysis) is called constitutional jaundice, and indirect (unconjugated) bilirubin is elevated. -Najjar syndrome type I, type II, and Gilbert syndrome are divided roughly into Dubin-Johnson syndrome and Rotor syndrome in which direct (conjugated) bilirubin is elevated. In Crigler-Najjar syndrome type I, type II and Gilbert syndrome, mutations in exon 5 of the UGT1A1 gene have been reported. Specifically, a mutation (Y486D) in which the tyrosine at amino acid sequence number 486 is replaced with aspartic acid reduces the enzyme activity to 13 times that of a normal one.
[0004]
On the other hand, cytochrome P450 is well known as a substance involved in drug metabolism in the body. It is also well known that due to the difference in the polymorphism of this enzyme, a certain drug is not metabolized and a drug metabolism disorder is caused. Drug metabolism abnormalities are not only caused by cytochrome P450 polymorphism, but also as described above, since the drug is metabolized by glucuronidation, the UGT polymorphism is known to be involved in drug metabolism. However, in the relationship between various drug metabolisms and UGT polymorphisms, effective gene mutations that can reflect the metabolism for many drugs are not clear. In particular, the relationship between the mutation of exon 5 region of UGT1 gene and drug metabolism is not clear.
[0005]
[Problems to be solved by the invention]
An object of the present invention is to provide a method for determining, predicting or testing drug metabolism by efficiently detecting a mutation in a gene encoding UGT.
[0006]
[Means for solving the problems]
As a result of intensive studies, the present inventors have found that a gene encoding UGT is composed of five exons, and the exons 2 to 5 region are common to each isoform of UGT1, and therefore, mutations in these regions In particular, focusing on the fact that the mutation of UGT1 can be detected effectively without examining each isoform of UGT1, especially by detecting the mutation in exon 5 region of UGT1 molecule, the prediction of drug metabolism Has been found to be effective, and the present invention has been completed.
[0007]
That is, the present invention
1. A test method for drug metabolizing ability of UGT, comprising a step of detecting a mutation in exon 5 region of a gene encoding UDP-glucuronosyltransferase (UGT);
2. The test method according to item 1, comprising a step of detecting a mutation in the promoter region,
3. A sample containing a gene encoding UGT1 is tested for each isoform of UGT1A1, UGT1A3, UGT1A4, UGT1A5, UGT1A6, UGT1A7, UGT1A8, UGT1A9 and UGT1A10. 3. The inspection method according to item 1 or 2, comprising a step of detecting a mutation in exon 5 region,
4). The test method according to item 3 above, which comprises a step of detecting a mutation in the exon 5 region of each isoform of the UGT1A molecule corresponding to the 1456th base of the UGT gene sequence encoding the 486th amino acid of the UGT1A1 molecule,
5. 5. The examination according to any one of the preceding items 1 to 4, which comprises a step of detecting a mutation in at least one region of exons 1, 2, 3 and 4 of a gene sequence encoding a UGT molecule together with the mutation detection step. Method,
6). A step of detecting a mutation in at least one gene sequence among the 226th mutation in the UGT gene sequence encoding the 71st amino acid of the UGT1A1 molecule and the 486th mutation in the gene sequence encoding the 229th amino acid. The inspection method according to item 5 above, comprising
7). A UGT gene having a mutation consisting of the base substitution according to the above item 3 or 4, or a gene fragment containing the mutation,
8). In order to use a DNA fragment having a functional effective length as a test DNA used in the method for detecting base substitution according to any one of items 1 to 6 or the base substitution according to items 1 to 6 in the detection method A DNA fragment having a functional effective length as a probe of
9. 9. The DNA fragment according to item 7 or 8 above, which is an oligonucleotide probe specific for UGT having the base sequence represented by any one of SEQ ID NOs: 1 to 3.
10. 7. The inspection method according to item 5 or 6, wherein the probe having the base sequence represented by SEQ ID NO: 1 and the probe having the base sequence represented by SEQ ID NO: 2 and / or 3 are used in combination.
11. The detection apparatus which installed the oligonucleotide probe used for the method of Claim 10 or the oligonucleotide probe of any one of Claims 7-9 in the same apparatus.
12 12. The detection according to item 11 above, wherein the end of the base sequence of the oligonucleotide probe according to any one of items 7 to 9 is a nucleic acid chip or a nucleic acid array immobilized by binding to an insoluble support through a functional group. Device 13. 13. A method for determining, predicting or examining drug metabolism using the apparatus according to 11 or 12 above.
14 The test kit is used for the method according to any one of items 1 to 6, 10, and 13, or the nucleic acid fragment according to items 7 to 9 or the test kit incorporating the apparatus according to item 11 or 12.
[0008]
[Embodiments of the present invention]
In order to describe the present invention in detail, an embodiment will be illustrated and described.
2-Amino-5-nitro-4-trifluoromethylphenol glucuronic acid conjugate is the main metabolite of flutamide, a non-steroidal anti-androgenic agent used in the treatment of prostate cancer with strong hepatotoxicity.
2-Amino-5-nitro-4-trifluoromethylphenol is glucuronidated by UGT. Enzymatic reaction when glucuronidation was carried out by the enzyme of each isoform of UGT1A1 and UGT1A6 was compared between a normal molecule and a molecule having a Y486D mutation. As a result, the UGT1A1 mutant showed a maximum rate of about 12% compared to the maximum rate of the natural type, and the Km value was about half that of 2-amino-5-nitro-4-trifluoromethylphenol. , UDP-glucuronic acid was equivalent to the natural type. On the other hand, for UGT1A6, the mutant type showed only 1% or less of the activity of the natural type, and the maximum reaction rate and Km could not be measured.
As described above, the UGT1 gene has a common exon 2-5 region for each isoform and a different exon 1 region for each isoform. Therefore, when a mutation occurs in the common exon region, the enzyme activity of UGT1 is increased in all isoforms. It can be said to decline.
[0009]
The present invention provides a method for efficiently examining gene mutations for all isoforms that may exist in UGT1, by examining mutations in the common exon region. Specifically, for example, by examining a mutation (Y486D) in the exon 5 region of UGT1A1 and UGT1A6, drug metabolism by these enzymes can be predicted.
Furthermore, the present invention can detect mutations unique to each isoform by adding mutation detection in the exon 1 region of UGT1 and combine them to reduce the frequency of undetected UGT gene mutations overall. A UGT gene mutation test method is provided. This can provide a method for efficiently predicting and examining drug metabolism.
[0010]
The present invention discloses a method for testing a mutation in the exon 5 region of UGT1A1, specifically the Y486D mutation, and this test method can also detect other isoform mutations occurring simultaneously. For example, UGT1A3, UGT1A4 and UGT1A5 mutation Y487D, UGT1A6 mutation Y485D, and UGT1A7, UGT1A8, UGT1A9 and UGT1A10 mutation Y483D are tested using the same probe and / or the same apparatus. be able to. Therefore, by using the method of the present invention, all the exons of these isoforms can be obtained by using one nucleic acid probe without individually examining the mutation of each isoform of UGT1A that plays an important role in drug metabolism. It is possible to detect mutations in 5 regions, and to determine, predict or test drug metabolism due to a decrease in enzyme activity.
[0011]
In the present invention, since the genetic mutation to be detected has been clarified and specified, according to the disclosure of the present invention, a method for the detection is appropriately employed or the method is appropriately modified and employed. Is easy for those skilled in the art. For example, the detection of the specific mutation (Y486D mutation) of the present invention for the subject's UGT gene can be performed according to various methods for analyzing the base sequence including the mutation position. This includes, for example, Southern hybridization method, dot hybridization method (see J. Mol. Biol., 98: 503-517, 1975, etc.), dideoxy base sequencing method, and various amplification methods combining DNA amplification methods. [For example, PCR-restriction fragment length polymorphism (RFLP), PCR-single-chain conformation polymorphism analysis (Proc. Natl. Acad. Sci., USA, 86: 2766-2770, 1989), PCR-specific sequence oligonucleotide method (SSO), allele-specific oligonucleotide method using PCR-SSO and dot hybridization method (Nature, 324: 163-166, 1986, etc.) )] And the like. Furthermore, it can be easily detected by a nucleic acid chip or a nucleic acid array using an oligonucleotide probe.
[0012]
(probe)
Mutation of 226th nucleobase in exon 1 of gene encoding UGT1 molecule (G71R), mutation of 686th nucleobase in exon 1 (P229Q) and mutation of 1456th nucleobase in exon 5 (Y486D) Can be detected using a nucleic acid probe.
The number of nucleotides of the DNA fragment for these nucleic acid probes should be at least 8, usually 10 to 50, preferably 15 to 35. If the number of nucleotides of the probe is too much more than the above, it will be difficult to hybridize to single-stranded DNA, and conversely if it is too small, the specificity of hybridization will be reduced.
[0013]
Specifically, as a G71R mutation detection probe, (SEQ ID NO: 2) an oligonucleotide having a base sequence of TCAGAGACNGAGCATTTTT, a P229Q mutation detection probe is (SEQ ID NO: 3) an oligonucleotide having a base sequence of TAATTCCCCNGTATGAA, and detection of a Y486D mutation As the probe (SEQ ID NO: 1), an oligonucleotide having a base sequence of TGGTACGCNACCATTCCT can be used. In this case, N is any of A, T, C or G or a universal base such as inosine.
Moreover, necessary chemical substances, for example, substances for facilitating spotting when preparing a nucleic acid array, various labeling substances, and the like can be added to the ends of these oligonucleotides.
[0014]
Furthermore, in the present invention, as long as it can function as a probe for UGT gene detection, it is not limited to the DNA fragment having the base sequence represented by SEQ ID NO: 1 to 3, and a small number of mismatches with the template strand. There may be. For example, as long as it has the said function, the base sequence represented by sequence number 1-3 can include the sequence | arrangement by which the modification by substitution, deletion, and / or addition of 2 or less nucleotides was carried out, for example .
[0015]
Each oligonucleotide of the probe used in the present invention can be easily synthesized according to a conventional method using an automatic synthesizer, for example, a DNA synthesizer (Perkin Elmer), etc. Further, it can be purified using a commercially available purification cartridge or the like. When the synthetic oligonucleotide is applied to a nucleic acid array immobilized on the surface of a slide glass, it is also preferable to amino-label the 5 ′ end.
[0016]
(Nucleic acid array)
Each of the above probes can be immobilized on the surface of a slide glass or the like and used as a nucleic acid array (generally also referred to as “microarray”). A publicly known method can be applied to the method of the nucleic acid array, and the method is not particularly limited (for example, under a genetic engineering experiment note, Yodosha, 175-187 (2002)). For example, it can be prepared by spotting on an aminosilane-coated slide glass using a commercially available arrayer, Affymetrix 417 Arrayer.
(Preparation of target sample and test sample)
According to the method of the present invention, drug metabolism due to glucuronidation, which occupies an important position in a kinetic test in drug development, can be easily determined. Thereby, the suitability of metabolism of the medicinal product to be administered can be determined. The sample to be measured is not particularly limited as long as it is a biological sample, and examples thereof include liver, kidney, leukocyte, organ such as hair, tissue, and the like. When the expression level of the UGT gene is small in the measurement sample, it is also possible to measure a sample obtained by amplifying the target nucleic acid by an appropriate amplification method such as PCR method, LAMP method, LCR method, NASBA method or the like. .
[0018]
A test sample can be prepared by extracting DNA from a test target sample and amplifying the DNA by, for example, PCR using a primer pair specific to the region where mutation is to be detected. Specifically, a fluorescently labeled sample is prepared using a primer (for example, 5′-Cy3 labeled oligo DNA) fluorescently labeled at the 5 ′ end, so that the prepared sample is hybridized with the probe on the nucleic acid array. The result of the hybridization can be directly detected.
[0019]
As a primer for sample preparation, for example, the following can be used. Thereby, DNA can be amplified and a fluorescence labeled sample can be prepared.
1) Primer pair for mutation detection site G71R:
G71R-F
(CTGCAGCAGAGGGGGACATGA) (SEQ ID NO: 4)
Cy3-G71R-R
(Cy3-AACATTAGCCCCGAGACTAC) (SEQ ID NO: 5)
2) Primer pair for mutation detection site P229G:
P229Q-F
(CAACCCATTCTCTCTACTGTG) (SEQ ID NO: 6)
Cy3-P229G-R
(Cy3-AGATGCAGAGCTCAATAGGTC) (SEQ ID NO: 7)
3) Primer pair for mutation detection site Y486D
a) Y486D-F
(GCTGGACCTGGCAGGTGTTC) (SEQ ID NO: 8)
Cy3-Y486D-R
(Cy3-TTTCCGGGTAGCCATTGCACA) (SEQ ID NO: 9)
b) Y486D-F2
(CCCGCAGCCCACGACCTCACCTGGT) (SEQ ID NO: 10)
Cy3-Y486D-R2
(Cy3-AGAGGAAACCAATCACGTCCAAGG) (SEQ ID NO: 11)
[0020]
(detection)
A commercially available detection apparatus is used for the detection of the nucleic acid array fluorescent label. For example, the fluorescence signal of each spot can be detected by scanning using Affymetrix 428 ArrayScanner.
[0021]
(Target drug)
The target drug that can be tested by the method of the present invention is useful for testing its metabolism as long as it is glucuronidated by UGT. Examples of these drugs include diuretics such as spironolactone, analgesics such as acetaminophen, aspirin, fructaphenine, indomethacin, psychotropic drugs such as haloperidol, carpipramine, lorazepam, amoxane, and anesthetic analgesics such as morphine, propofol, and opium , Anticancer drug doxorpidine hydrochloride, antitussive codeine phosphate, asthma drug orciprenaline sulfate, antiepileptic drug phenytoin, antihistamine drug ketotifen fumarate, antihypertensive and angina treatment drug carvedilol, propranolol hydrochloride, etc. Examples include clofibrate aluminum and Alzheimer's therapeutic drug donepezil hydrochloride.
[0022]
【Example】
EXAMPLES Hereinafter, although an Example demonstrates this invention further more concretely, this invention is not limited to these.
[0023]
[Example 1]
(Preparation of nucleic acid array)
5′-amino modified oligonucleotides having the respective sequences of SEQ ID NOS: 1 to 12 were synthesized and spotted on the surface of an aminosilane-coated slide glass (manufactured by Sigma) using an Affymetrix 417 Arrayer to prepare a DNA chip. Five of each oligonucleotide was spotted. The spot layout of the prepared array is shown in FIG.
[0024]
[Example 2]
(Sample preparation)
Seven types of test samples were PCR amplified using the following 5′-Cy3 labeled oligonucleotides and unlabeled oligonucleotide primers to prepare fluorescently labeled samples. As a primer pair for the mutation detection site G71R, a PCR amplification product of 150 base pairs using G71R-F and Cy3-G71R-R, a primer pair for the mutation detection site P229G, P229Q-F and Cy3-P229G-R are used. The PCR amplification product of 195 base pairs was further obtained using the primer pair for mutation detection site Y486D, Y486D-F and Cy3-Y486D-R. The conditions for PCR are as follows.
[0025]
The reaction product was purified by ethanol precipitation.
[0026]
[Example 3]
(Hybridization and detection)
Each sample prepared in Example 2 was mixed with 12 μL of hybridization buffer [4 × SSC (4 × represents a 4-fold concentration of 0.15 mol / L NaCl and 15 mmol / L sodium citrate as a basic solution), 0.2% SDS, 50% formamide], and 10 μL thereof was hybridized with the nucleic acid array prepared in Example 1 at 42 ° C. for 2 hours. After hybridization, wash with buffer (2 × SSC, 0.2% SDS) at 37 ° C. for 5 minutes, then wash with buffer (0.2 × SSC) at room temperature for 5 minutes, dry, and use Affimetrix 428 ArrayScanner. Was used to detect the fluorescent signal. The results are shown in FIGS.
[0027]
In sample 1, hybridization was observed only in the G row of the G71R mutation detection chip, only in the C row of the P229Q mutation detection chip, and only in the T row of the Y486D mutation detection chip. This indicated that all had a normal sequence (FIG. 2).
[0028]
In samples 2 and 3, hybridization was observed in the C row of the P229Q mutation detection chip and the T row of the Y486D mutation detection chip, and normal sequences were observed, respectively, but the A and G rows of the G71R mutation detection chip were detected. Hybridization was observed in both rows. Thereby, a heterozygous mutation having both a normal sequence hybridizing to the G column and a mutant sequence hybridizing to the A column was confirmed (FIGS. 3 and 4).
[0029]
In sample 4, the P229Q and Y486D mutation detection chips showed normal hybridization patterns, but hybridization was observed only in the A column of the G71R mutation detection chip. Thereby, a homozygous mutation was confirmed (FIG. 5).
[0030]
In sample 5, the hybridization patterns of the G71R and Y486D mutation detection chips were both normal, but in P229Q, hybridization was observed in the normal C row and further in the A row. Thereby, heterozygous mutation was confirmed (FIG. 6).
[0031]
Sample 6 showed a normal hybridization pattern for the G71R and P229Q mutation detection chips, but for the Y486D mutation detection chip, the normal T row and the G row showing mutations. Hybridization was observed in both. Thereby, heterozygous mutation was confirmed (FIG. 7).
[0032]
In sample 7, unlike sample 6, hybridization was observed only in the G row on the Y486D mutation detection chip. Thereby, a homozygous mutation was confirmed (FIG. 8).
[0033]
UGT molecules having the same gene sequences as those of the above seven samples were prepared by genetic recombination, and the UGT activity when measured using bilirubin as a substrate was compared with the above results. As a result, as shown in Table 1, UGT molecules It was confirmed that the enzyme activity of the UGT molecule can be predicted by detecting mutations in the exon 5 region that encodes, particularly Y486D mutation. This indicates that it is possible to examine abnormalities in drug metabolism. Furthermore, it was shown that abnormalities in drug metabolism can be examined more effectively by detecting mutations in exon 1 to 4 regions other than exon 5 region.
[0034]
(Table 1) UGT activity of genetically modified UGT1A1 molecule corresponding to the analysis result with DNA chip
[Table 1]
[0036]
[Example 4]
For the UGT1A6 molecule that was operated in the same manner as in Example 1 and detected a mutation in the exon 5 region, the analysis result of the mutation in the exon 5 region and the UGT activity of the corresponding recombinant UGT1A6 molecule were expressed as 2-amino-5-nitro. Measurement was carried out using -4-trifluoromethylphenol as a substrate. The results are shown in Table 2.
[0037]
(Table 2) UGT activity of genetically modified UGT1A6 molecule corresponding to the analysis result with DNA chip
[Table 2]
[0039]
As a result, it was found that not only UGT1A1 but also other isoform mutations could be detected by the method of the present invention, and the effects of the present invention were confirmed.
[0040]
【The invention's effect】
As described above, the method for detecting mutations in the common exon region encoding UGT1 of the present invention can detect a large number of mutations in the UGT1 gene efficiently without individually examining a large number of isoforms. It is possible to efficiently determine, predict and test the metabolism of a drug.
[0041]
[Brief description of the drawings]
FIG. 1 shows the arrangement of nucleic acid probes on a DNA chip.
FIG. 2 is a diagram showing a test result of sample 1 (normal specimen).
FIG. 3 is a diagram showing a test result of Sample 2. FIG.
FIG. 4 is a diagram showing a test result of a sample 3;
FIG. 5 is a diagram showing a test result of a sample 4;
FIG. 6 is a diagram showing a test result of a sample 5;
FIG. 7 is a diagram showing a test result of a sample 6;
FIG. 8 is a diagram showing a test result of a sample 7;
[Sequence Listing]
Claims (6)
Priority Applications (6)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2002235029A JP4096037B2 (en) | 2002-08-12 | 2002-08-12 | Prediction method of drug metabolic activity by mutation analysis of glucuronyltransferase gene |
| AU2003211948A AU2003211948A1 (en) | 2002-08-12 | 2003-02-13 | Method of estimating drug metabolic activity by analyzing mutations in glucuronosyl transferase gene |
| US10/524,278 US7582427B2 (en) | 2002-08-12 | 2003-02-13 | Method of estimating drug metabolic activity by analyzing mutations in glucuronosyl transferase gene |
| PCT/JP2003/001475 WO2004016814A1 (en) | 2002-08-12 | 2003-02-13 | Method of estimating drug metabolic activity by analyzing mutations in glucuronosyl transferase gene |
| CA2499707A CA2499707C (en) | 2002-08-12 | 2003-02-13 | Method for predicting drug metabolizing activity by analysis of glucuronosyltransferase gene mutation |
| KR1020057001663A KR100705733B1 (en) | 2002-08-12 | 2003-02-13 | Prediction of Pharmaceutical Metabolism Activity by Mutation Analysis of Glucuronosyl Transferase Gene |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2002235029A JP4096037B2 (en) | 2002-08-12 | 2002-08-12 | Prediction method of drug metabolic activity by mutation analysis of glucuronyltransferase gene |
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| JP2004073035A JP2004073035A (en) | 2004-03-11 |
| JP4096037B2 true JP4096037B2 (en) | 2008-06-04 |
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| JP2002235029A Expired - Lifetime JP4096037B2 (en) | 2002-08-12 | 2002-08-12 | Prediction method of drug metabolic activity by mutation analysis of glucuronyltransferase gene |
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| Country | Link |
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| US (1) | US7582427B2 (en) |
| JP (1) | JP4096037B2 (en) |
| KR (1) | KR100705733B1 (en) |
| AU (1) | AU2003211948A1 (en) |
| CA (1) | CA2499707C (en) |
| WO (1) | WO2004016814A1 (en) |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| ES2308208T3 (en) | 2003-05-30 | 2008-12-01 | University Of Chicago | METHODS AND COMPOSITIONS TO PREACH IRINOTECHAN TOXICITY. |
| KR100849166B1 (en) | 2005-02-07 | 2008-07-30 | 인제대학교 산학협력단 | Monobasic Polymorphism and Use of Udifi-Glucuronosyltransferase 1A4 Gene |
| CN102277437B (en) * | 2006-09-11 | 2015-03-25 | Inje大学校产学协力团 | HtSNPs for determining a genotype of cytochrome p450 1a2, 2a6 and 2d6, pxr and udp-glucuronosyltransferase 1a gene and multiplex genotyping methods using thereof |
| JP4884899B2 (en) * | 2006-09-19 | 2012-02-29 | 東洋鋼鈑株式会社 | Method for determining risk of occurrence of side effects of irinotecan and kit therefor |
| KR101107911B1 (en) * | 2006-11-30 | 2012-01-25 | 아크레이 가부시키가이샤 | Primer set for amplification of ugt1a1 gene, reagent for amplification of ugt1a1 gene comprising the same, and use of the same |
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| JP3888807B2 (en) | 1999-08-06 | 2007-03-07 | 凸版印刷株式会社 | Gene detection method, detection apparatus, and detection chip |
| US6987014B2 (en) | 2000-08-30 | 2006-01-17 | Applera Corporation | Isolated nucleic acid molecules encoding human drug metabolizing proteins |
| US20030092019A1 (en) * | 2001-01-09 | 2003-05-15 | Millennium Pharmaceuticals, Inc. | Methods and compositions for diagnosing and treating neuropsychiatric disorders such as schizophrenia |
| AU2002328945A1 (en) * | 2001-07-23 | 2003-02-24 | Epidauros Biotechnologie Ag | Methods for improved treatment of cancer with irinotecan based on mrp1 |
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- 2003-02-13 AU AU2003211948A patent/AU2003211948A1/en not_active Abandoned
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| JP2004073035A (en) | 2004-03-11 |
| CA2499707C (en) | 2010-11-02 |
| AU2003211948A1 (en) | 2004-03-03 |
| WO2004016814A1 (en) | 2004-02-26 |
| KR100705733B1 (en) | 2007-04-09 |
| US20060257960A1 (en) | 2006-11-16 |
| CA2499707A1 (en) | 2004-02-26 |
| US7582427B2 (en) | 2009-09-01 |
| KR20050042778A (en) | 2005-05-10 |
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